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Questions 148

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Extract:


Question 1 of 5

A 4-year-old male is admitted to the unit with nephrotic syndrome. He is extremely edematous. To decrease the discomfort associated with scrotal edema, the nurse should:

Correct Answer: B

Rationale: Elevating the scrotum reduces edema by promoting fluid drainage, decreasing discomfort.

Question 2 of 5

When assessing a client's skin, the nurse notes a scattered red rash on the trunk. The individual lesions are about 0.5 cm in diameter and are flat, nonpalpable, and circumscribed. How would this type of lesion be classified?

Correct Answer: C

Rationale: A flat, nonpalpable lesion ≤1 cm is a macule (
C). Papules (
A) are raised, nodules (
B) are deeper and larger, and patches (
D) are larger flat lesions.

Question 3 of 5

The nurse is observing a student nurse administer a client's medications via a nasogastric (NG) tube. The nurse understands that the student nurse needs further teach if the student nurse performs which action?

Correct Answer: F

Rationale: All listed actions are correct for NG medication administration. No intervention is needed.

Question 4 of 5

The nurse is teaching a client with limited mobility about preventing blood clots. Which statement by the nurse is correct?

Correct Answer: A

Rationale: Crossing legs can impede venous return, increasing clot risk, so avoiding this is correct. Long car rides are a risk but not limited to two hours, and pillows under knees can worsen circulation.

Question 5 of 5

The nurse is caring for an elderly client with dementia. The family wishes to take the client home instead of placing her in an assisted living facility. Which information should the nurse include in his discharge teaching? Select all that apply.

Correct Answer: A, D, E

Rationale: Providing community resources, social worker contact, and home safety information supports the family’s decision and promotes safety. Discussing provider disapproval or assisted living advantages is inappropriate.

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